Corporate Responsibility-Compliance Director, Officer

Job Description
Legal Services
Date Posted: 7/22/2013
Additional
Information: Under the direction of the VP & Chief Corporate Responsibility Officer, this position contributes to CHP’s mission by providing day-to-day management and integration of an effective Corporate Responsibility Program (CRP) within local and regional affiliated entities and providers associated with Catholic Health Partners (CHP) system. This position provides technical and professional compliance expertise and advice to local and regional Boards, Board committees, leaders and affiliates regarding current and emerging federal, state, local and internal health care compliance-related issues. Local and regional affiliation refers to the geographic location where direct point-of-care services are delivered to patients.

It is expected that all of the Essential Functions and Responsibilities identified below will be performed in a manner that reflects the values of Catholic Healthcare Partners, which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service.

• Responsible for the overall implementation and day-to-day management of the system-wide CHP Corporate Responsibility Program at the local and regional level that meets or exceeds the requirements of an effective compliance program, as defined in the Federal Sentencing Guidelines and OIG Program Guidelines, under the supervision of the CHP Vice President & Chief Corporate Responsibility Officer.

• Implements the CHP Corporate Responsibility program on behalf of the corporate office of CHP through engagement with the local and regional CEO, governing Board and Board Committees, Audit and Corporate Responsibility Committee (ACRC), leadership, operational staff and affiliates (employed and/or contracted).

• Serves as staff officer who assists in the planning, development, coordination and production of appropriate materials and follow-up documents for local and regional Board ACRC meetings.

• Works collaboratively on program components, standards, goals, resources, training, monitoring and auditing, reporting and team building efforts in an effort to align the system-wide CHP Corporate Responsibility Program with emerging internal and external expectations and requirements.

• Serves as the official contact and public representative for the CHP Corporate Responsibility Program at the local and regional level. Provides assistance and/or information on program elements.

• Serves as the official CHP Corporate Responsibility Program local and regional representative at internal and external meetings, presentations, and subcommittee/taskforce activities.

• Assists in the identification of emerging risk areas and to oversee the development of compliance risk assessments and investigations, internal controls, monitoring and audit tools, policies and procedures and effective corrective action plans for local, regional and system-wide application.

• Oversees the implementation, data collection, analysis and reporting of CRP Effectiveness measures, Focus Areas, Self-Assessments, Conflict of Interest and Exclusion monitoring, and other required reporting to governance and leadership at the local and regional level as well as to support accurate and efficient corporate reporting of program efforts.

• Oversees the usage of Reportline reporting system and other designated compliance databases to ensure local and regional reported matters are appropriately investigated, documented and tracked to maintain program integrity and to memorialize program efforts.

• Coordinates and collaborates with local, regional and corporate staff on response activities; corrective action plan development and implementation; voluntary disclosures and repayments; official documentation and reporting of internal and external audits and investigations conducted by Internal Audit, Federal, State and/or local enforcement regulatory agencies and officials.

• Organizes and/or supports networks, taskforces and subcommittee meetings including agenda development, issues identification and research, and necessary follow-up with affected parties and constituencies to facilitate networking, decision-making and timely response to changing regulatory conditions.

• Conducts and/or oversees CRP orientation for new local and regional leadership, governance and affiliates.

• Conducts and/or oversees Exit Interviews for local and regional leadership and affiliates per CRP Plan policy.

• Maintains awareness of laws and regulations and current industry changes that may impact health care through personal initiative, continuing education and peer-to-peer networking.

• Ensures that local and/or regional CEO, regional General Counsel and CHP Vice President & Chief Corporate Responsibility Officer are apprised of local and regional emerging issues, investigations, adverse outcomes and/or program initiatives and deficiencies.

• Provides education on compliance issues to enhance compliance proficiency and competency, understanding of standards and the consequences of non-compliance. Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging compliance challenges among affected parties and entities.

• Duties as assigned or approved by immediate supervisor. [ Refer to additional duties for Privacy Officer, PACE, Risk]

Educational
Requirements: • The ideal candidate will possess a Bachelor’s degree, with a Master’s degree in healthcare or related field desired. Coding, auditing and/or compliance certification a plus.

• Five to ten years of in-depth experience within healthcare operations, law, finance, coding/billing and/or compliance programs either from a consulting perspective or as an employee/manager.

• Demonstrated working knowledge of Medicare and Medicaid, including documentation, coding, reimbursement methodologies, as well as extensive familiarity with Department of Health and Human Services Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS) rules, regulations and compliance guidance.

• Excellent analytic and problem-solving skills to process auditing and monitoring reports, consultant studies and data compilations to discern opportunities, identify compliance risks and prioritize recommendations. Ability to take major strategic objectives and break them down into meaningful action steps.

• Strong communication skills (oral and written) and the ability to interact effectively with all staff levels, including leadership, administrative, management, clinical and professional. Strong knowledge transfer skills are essential, including the ability to speak and present in small group and team settings.

• Accomplished training or evidence of significant experience in LotusNotes/Outlook, Word, PowerPoint, and Excel.

• Ability to perform detailed web-based research of governmental and healthcare websites.

• Ability to work successfully and independently, yet thrive in a team environment; ability to develop and maintain strong internal and external relationships.

• Ability to manage multiple projects, priorities, and deadlines with professionalism and a high level of accountability.

• Self-starter, with solid collaborative skills, a high tolerance for ambiguity and a good sense of humor. Exemplary personal and professional conduct as ambassador for corporate responsibility program. Willingness to travel throughout the organization, as needed, to complete duties.

• Ability to identify, function and support the ethics and values-based organization mission; dedication to living the Core Values of the organization.

• Ability to work comfortably and effectively as a critical team member of a Catholic faith-based health care organization, subject to the Ethical and Religious Directives for Catholic Health Care Services.

Company

Catholic Health Partners CHP

Job Code

State or Province

Ohio

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